UtilizationReview

Denial Code 151

Conquer Denial Code 151 Frequency/Quantity Not Justified Denials

Leave a Comment / December 2024

Practice managers, healthcare providers, and practice owners must actively combat Denial Code 151 Frequency/Quantity Not Justified. This common rejection indicates the payer believes the submitted information does not justify the frequency or quantity of services billed. Consequently, this denial directly impacts your revenue. Therefore, understanding the root causes of Denial Code 151 Frequency/Quantity Not Justified […]

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Denial Code N362

Fix Denial Code N362 Excessive Days/Units of Service Denials

Leave a Comment / November 2024

Healthcare providers, practice managers, and clinic owners must treat Denial Code N362 Excessive Days/Units of Service seriously. This denial signals that the payer believes the quantity (days or units) of service billed is too high. Consequently, N362 represents a direct challenge to the medical necessity and utilization integrity of your claim. Therefore, understanding the root

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Denial Code 152

Fix Denial Code 152 Length of Service Not Supported Denials

Leave a Comment / October 2024

Healthcare providers, practice managers, and clinic owners face a common revenue hurdle with Denial Code 152 Length of Service Not Supported. This code indicates that the payer believes the submitted information doesn’t support the length of service billed. Essentially, a mismatch exists between the billed procedure duration and the documented patient stay or treatment time.

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Denial Code 222

Fix Denial Code 222 Exceeded Contracted Units/Limits Denials

Leave a Comment / October 2024

Healthcare providers, practice managers, and clinic owners must conquer Denial Code 222 Exceeded Contracted Units/Limits denials. This common billing issue arises when providers exceed the maximum number of hours, days, or units for a specific period, as outlined in their contract. Consequently, this denial often signals a clear mismatch between the billed services and the

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